NICOLE G. GREYSHOCK MD – NPI #1063689826
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Health Care Provider Taxonomy Code for Internal Medicine

NICOLE GREYSHOCK is a physician located in FAYETTEVILLE, NC. NPPES has assigned the NPI number 1063689826 to NICOLE GREYSHOCK on May 12, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name NICOLE DEHAVEN GASKINS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was last updated on Jun 03, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICOLE GREYSHOCK below.

NPI Profile for
NICOLE G. GREYSHOCK

NPI Number
1063689826
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
NICOLE G. GREYSHOCK
Former Name: NICOLE DEHAVEN GASKINS
Credentials
MD
Primary location
1340 WALTER REED RD STE 101
FAYETTEVILLE, NC 28304-4451
Phone: (910) 401-5425 Fax:
1 Other location(s):
405 Owen Dr
Fayetteville, NC 28304-3411
Phone: (910) 323-3183
Mailing address
PO BOX 96860
CHARLOTTE, NC 28296-6860
Phone: (910) 401-5425 Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 03, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)		 NC 2011-00216
207R00000X
- Internal Medicine		 NC 2011-00216

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE - Graduated 2008
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
NICOLE GREYSHOCK is affiliated with the following medical group(s):
  • HOSPITAL
    • CAPE FEAR VALLEY MEDICAL CENTER
      1638 OWEN DRIVE P O BOX 2000
      FAYETTEVILLE, NC 28302
    • SOUTHEASTERN REGIONAL MEDICAL CENTER
      300 W 27 ST PO BOX 1408
      LUMBERTON, NC 28359

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